NPI 1083145833 · live from the CMS NPI Registry
Marie Shela L Salonga
Behavior Analyst in Eagle River, AK. National Provider Identifier 1083145833, active.
NPI record
| NPI | 1083145833 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 17301 Beaujolais Cir, Eagle River, AK 99577 |
| Practice phone | 907-232-5282 |
| Enumerated | March 23, 2017 |
| Last updated | July 16, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — (AK) |
| Behavior Analyst primary | 103K00000X | 1-22-62147 (AK) |
| Assistant Behavior Analyst | 106E00000X | — (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.